CENTRAL MS PEDIATRIC ENDOCRINOLOGY NPI 1114118940

NPI Information

CENTRAL MS PEDIATRIC ENDOCRINOLOGY is an endocrinology and diabetes and metabolism internal medicine in Jackson, MS. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. CENTRAL MS PEDIATRIC ENDOCRINOLOGY NPI is 1114118940. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1860 CHADWICK DR
SUITE 206
JACKSON, MS
ZIP 39204-463
Phone: (601) 376-1517
Fax: (601) 376-1546

The provider's authorized official is Brad Sinclair .
The authorized official title is Regional Manager and has the following contact phone number (601) 936-3102.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 8/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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